Long-acting ACE inhibitor-induced angioedema

Autor: Christine L. Holland, Leonard Bielory, Sylvia Lee, Michael Jaker
Rok vydání: 1992
Předmět:
Zdroj: Allergy proceedings : the official journal of regional and state allergy societies. 13(2)
ISSN: 1046-9354
Popis: Angioedema is a known adverse reaction of the angiotensin converting enzyme (ACE) inhibitors. Although current investigations are in progress, the exact pathogenesis of ACE inhibitor-induced angioedema is still unclear. Most cases of angioedema we have seen remitting from the short-acting ACE inhibitor, captopril, have presented with mild angioedema, controlled with antihistamines and glucocorticosteroids. In contrast, the angioedema induced by the long-acting ACE inhibitors have been serious. Our five patients developed angioedema from either lisinopril or enalapril. Three of five patients presented with severe angioedema requiring intubation, and one of these patients had a tracheostomy. One patient with a history of mild angioedema secondary to captopril subsequently required intubation for his enalapril-induced angioedema.
Databáze: OpenAIRE